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Data Needs for the State Children's Health Insurance Program (2002) / Chapter Skim
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3 Counting Enrollment
Pages 12-17

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 12...
... Although administrative records may be seen as ideal for this estimation, in fact differences in the number of children "ever enrolled" versus the number enrolled at a point in time can lead to widely divergent enrollment estimates. The official federal estimate provided by the Centers for Medicare and Medicaid Services (CMS)
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From page 13...
... Given the difficulties in relating administrative data to an appropriate estimate of the number of eligible children, some sample surveys estimate both the number eligible for participation in SCHIP and the number enrolled. For example, Dubay reported that the National Survey of America's Families oversamples low-income populations, thus permitting national estimates as well as more disaggregated estimates of enrollment in 13 states.
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From page 14...
... David Hanig reported similar mismatches in the state of Washington, where the survey estimates of Medicaid enrollees greatly exceeded the number of Medicaid enrollees recorded in administrative data. This problem was most pronounced in counties with a large proportion of Hispanic migrant workers, suggesting either a problem with the time period covered or with respondents' understanding of the survey question.
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From page 15...
... In her analysis of data from the 1999 National Survey of America's Families, Genevieve Kenney found that almost three-quarters of the uninsured children participated in the National School Lunch Program, the Special Supplemental Nutritional Program for Women, Infants, and Children (WIC) , or the Food Stamp Program.
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From page 16...
... Dubay concludes that reducing the uninsurance rate among low-income children must involve targeting Medicaid-eligible children, as well as those eligible for SCHIP, because 60 percent of uninsured children are eligible for Medicaid, while only 25 percent are eligible for SCHIP. State-specific surveys identified cumbersome application procedures as an impediment to enrollment for many SCHIP-eligible children.
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From page 17...
... · Implementing presumptive eligibility on the basis of self-reporting of income, with income auditing, using sample-based auditing as a way to measure and limit error rates in enrollment. · Continuing to apply lessons learned in SCHIP outreach to improve Medicaid outreach.
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Key Terms

  • school lunch
  • administrative data
  • schip enrollees
  • uninsured children
  • schip enrollment

  • health insurance
  • family care
  • lunch program
  • care agency
  • application form

  • medicaid enrollees
  • administrative records
  • survey estimates
  • national surveys
  • food programs

  • application process
  • sample surveys
  • children enrolled
  • application forms
  • special supplemental

  • schip disenrollees
  • documentation requirements
  • lunch application
  • divergent enrollment
  • geographic regions

  • substantially decreased
  • schip program
  • appropriate estimate
  • families oversamples
  • insurance application


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